“Healing in Community”
Division of Registered Counsellors & Psychometrists – Monique Cooper
Despite poor mental health resources, many South Africans have a strong sense of community. Can we leverage social support and community engagement to improve mental health outcomes in our diverse communities?
October is Mental Health Awareness Month, and one of the main priorities is to increase public education about mental illness in South Africa. Hugo et al. (2003) suggest that an improved understanding of mental disorders could decrease stigma and encourage the use of effective interventions. Increased knowledge can also lead to an improvement in community and social support for those suffering from mental illness. There is a good deal of evidence linking social connection to positive mental health outcomes, both in maintaining favourable mental health and assisting in recovery from moderate and severe mental health problems. On the other hand, loneliness is associated with poorer mental health (Holt-Lunstad, 2024). A sense of community is associated with reduced symptoms of depression, anxiety and stress (Park et al., 2023). Our communities can be a valuable source of support, and can help to leverage local knowledge, social networks and resources in areas where there is not adequate access to mental health care. Mobilising local resources and existing social structures can help to meet mental health care needs where formal resources are scarce. (Chutiyami et al., 2025).
Studies show that programmes with high levels of community engagement demonstrated significant improvement in clinical mental health symptoms and recovery indicators such as improved social inclusion. While community-led programmes delivered the most culturally relevant and sustained impacts. (Chutiyami et al., 2025) A focus on engaging community members as active participants and collaborating with them on design, implementation and leadership of community projects can go a long way in ensuring cultural acceptability and programme sustainability. (Chutiyami et al., 2025). A collaborative, community-led approach could help to increase the reach of mental health care services in underserved areas and encourage social cohesion and community resilience. Together we can work towards turning our communities into places of healing.
References:
Chutiyami, M., Cutler, N., Sangon, S., Thaweekoon, T., Nintachan, P., Napa, W., Kraithaworn, P., & River, J. (2025). Community-Engaged Mental Health and Wellbeing Initiatives in Under-Resourced Settings: A Scoping Review of Primary Studies. Journal of primary care & community health, 16, 21501319251332723. https://doi.org/10.1177/21501319251332723
Holt-Lunstad J. (2024). Social connection as a critical factor for mental and physical health: evidence, trends, challenges, and future implications. World psychiatry : official journal of the World Psychiatric Association (WPA), 23(3), 312–332. https://doi.org/10.1002/wps.21224
Hugo, C.J., Boshoff, D.E.L., Traut, A. et al. Community attitudes toward and knowledge of mental illness in South Africa. Soc Psychiatry Psychiatr Epidemiol 38, 715–719 (2003). https://doi.org/10.1007/s00127-003-0695-3
Park, E. Y., Oliver, T. R., Peppard, P. E., & Malecki, K. C. (2023). Sense of community and mental health: a cross-sectional analysis from a household survey in Wisconsin. Family medicine and community health, 11(2), e001971. https://doi.org/10.1136/fmch-2022-